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Home My WebLink AboutZ-18459FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-18459 Date OCTOBER 12r 1989 THIS CERTIFIES that the building Location of Property 1180 CRITTENS LANE House No. County Tax Map No. 1000 Section 70 Subdivision ONE FAMILY DWELLING SOUTHOLD~ N.Y. Street Hamlet Block 12 Lot 8 Filed Map No. Lot No. conforms substantially to the requirements for a private one family dwelling built prior to: APRIL 9r 1957 pursuant to which CERTIFICATE OF OCC. Z-18459 dated OCTOBER 12r 1989 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ONE FAMILY DWELLING WITH ATTACHED 1-1/2 CAR GARAGE * The certificate is issued to of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL AHMF/) H. & LUCITJ.R B. DARDIRI (owners) NO RECORD PRE EXISTING UNDERWRITERS CERTIFICATE NO. NO RECORD PRE EXISTING PLUMBERS CERTIFICATION DATED NO RECORD PRE EXISTING *PLEASE SEE ATTACHED INSPECTION REPORT ~ ~uilding Inspector Rev. 1/81 BUILDI.,G T0¥$I OF SOUTHOLD, N. Y. HOUSING coDE" INSPECTION REPORT Location Subdivision 1180 CRITTENS LANE (number & street) Map No. SOUTNOLD, N.Y. (l,iunicipali~y) Lot(s) Nmme of Owner(s) AHMED B. & LUCILLE B. DARDIRI Occupancy R-40 RES. (type) A~mitted by: ARMED DARDIRI OWNER (owner-~enan~) Accompanied by: SAME Key ~vailable Suffolk Co. Tax No.70-12-8 Source of request AHMED DARDIRI Date SEPT. 26, 1989 U,'~LLING: Type of construction wood FRAME Foundation CEMENT BLOCK Total rooms, 1st. F1 6 Bathroom(s) 2 Porch, type Breezeway Type Heat OIL Fireplace(s) LIVING ROOM NO. Domestic hotwater OIL Other #stories I STORY Cellar FULL Crawl space 2nd. Fi ~rd. F1 Toilet room(s) Deck, typ~ ~atio, type Garage 1~ car Utility room rear 'Warm Air xx Hotwater ~<its 3 Airconditioning YES Type heater ~CCESSORY STRUCTURES: Garage, type const. Swimming pool Other Storage, type const. Guest, type const. yIOLATIONS: _Location .CNAPTER 45--N.Y. STA'~ UNIFORM FIRE PREYEIFflON & BUILDING CODE Description IArt. I Sec. .. I Remarks: Inspected by GA~Y//FiSH Date of Insp. · Time start 2:30 OCTOBER 2, 1989 end 2:50 APPLICATION TOWN OF $OUTIIOLD BUILDING DEPARTMENT TOWN RALL L TOW. O,'SOU O _ FO~ CERTIFICATE OF OCCUPANCY DATE. Sept. 26, 1989 NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING..~...VACANT LAND ........ Location of Pr p rty. Cc~t~Q'.% ~@q~,.S0uth01d, NY HOUSE NO .................................. ' STRE~ .AMLET 6~m~ ~ Dardiri 9nd Lucille B... . Owner or Owners of Property .... . .. ......... Dardiri County Tax Map No. 1000 Section .7~ .... Block ..1~ .... Lot'.8 ....... Subdivision ....................... Filed Map Permit No ........... Date of Permit .......... Applicant ................... Health Dept Approval ' ................. Umderwriters Approval .............. Planning Board Approval ....... -Pre-Existing Reques~ for Temporary Certificate ....... Final Certificate Fee Submitted: $ 100. O0 l~...~.~__ ~ rev. 10/14/88 FORM NO. 6 TO~/N OF SOUTHOLD B§ILDING DEPARTMENT TONNHALL APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS A. 'This application must be filed in typewriter OR ink and submitted to the Building Inspector with the following; for new buildings or new use: ]o Final sUrVey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Under~riters. 4. Sworn statement from plumber certifying that solder used in system contains less than 2/]0 of lZ lead. 5. Co~erclal buildings, industrial buildings, multiple residences and similar buildings and installations, a certificate of code compliance from the Architect or Engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (Prior to April 9, ]9573 non-conforming uses, or buildings and "pre-existing" laud uses: l.~ccurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. A properly completed application, a consent to inspect signed by the applicant · If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in ~rriting to the applicant. 3. Date of any housing code or safety inspection of buildings or premises, or other pert£nent information required to prepare a certificate. C. For Vacant Land Certificate of Occupancy: l. An application for vacant land Certificate of Occupancy shall be submitted, and a certified abstract of title issued by a title company showing single and separate o~raershlp of the entire 10£ prior to April 9, ]957 shall also accompany the application. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in ~riting to the appllcant. FEES: I. 3. &. $. 6. CERTIFICATE OF OCCUPANCY - New IPaelling $25.00, Additions to Dwelling $25.00, Alteration to D~elling $25.00, Swimming Pool, $25.00. Accessory building $25.00 Addition to Accessory buildings, $25.00 - Businesses $50.00. Certificate of Occupancy on pre-existing dwelling - $100.00. Copy of Certificate of Occupancy - $5.00 - over 5 years - Vacant Land Certificate of Occupancy - $20.00 Updated Certificate of Occupancy - $50.00 Temporary Certificate of Occupancy - $25.00 Resldential $50.00 Commercial -et. 10/14/88 CONSENT TO INSPECTION ."-~-~G. DEPT ~'" TOWN OF SOU"r:~OLD Ahmed H. Dardiri and Lucille B. Dardiri · the undersigned, O%~ner (s) Name(s) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at Critten's Lane, Southold, NY · which is shown and designated on the Suffolk County tax map as District 1000, Section 70 , Block 12 , Lot 8 That the undersigned (has) (have) filed, or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following: House and attached gara9~ That the undersigned do(es) hereby give consent to the Building Inspectors of the Town of Southold to enter upon the above described property, including any and all buildings located thereon, to conduct such inspections as they may deem necessary with respect to the aforesaid application, including inspections to determine that said premises comply with all of the laws· ordinances, rules and regulations of the Town of Southold. The undersigned, in consenting to such inspections, do(es) so with the knowledge and understanding that any information obtained in the conduct of such inspections may be used as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: Sept. 26, 1989 (signature) Ahmed H. Dardiri (print name) (signature) Lucille B. Dardiri (print name) DR. ~;~!ODE$ TC4AUTMAI4 ANNE (~- T~AUTMAI'4